Comparison of quality of life outcomes between Stoppa’s procedure and bilateral Lichenstein procedure

Dr. Lakshman Agarwal; Dr. Sumita Jain; Dr. Neel Shah; Dr. Sarsij Kandpal; Dr. Ganesh Agarwal; Dr. Vijaypal Singh; Dr. Vineet Sharma

Volume : V, Issue : V, May - 2016

Comparison of quality of life outcomes between Stoppa’s procedure and bilateral Lichenstein procedure

Dr. Lakshman Agarwal, Dr. Sumita Jain, Dr. Neel Shah, Dr. Sarsij Kandpal, Dr. Ganesh Agarwal, Dr. Vijaypal Singh, Dr. Vineet Sharma

Abstract :

The technique of Giant Prosthetic Reinforcement of Visceral Sac involves the placement of a large mesh in the preperitoneal space deep to the transversalis fascia to cover the myopecteneal orifice bilaterally. A randomised prospective study was conducted by including a total of 108 patients admitted with uncomplicated bilateral inguinal hernias, between November 2012 and June 2014. They were divided randomly in two groups, Group A, who underwent a Stoppa�s Procedure and Group B, who underwent a bilateral Lichenstein Procedure. The average time taken during surgery in Group A was 41.61 minutes, while the average time taken during surgery in Group B was 58.93 minutes. Post–operative complications and the pain measured by the Visual Analogue scale at intervals of 1,3,7,15 and 30 days was comparable in both groups. On measuring the quality of life by SF–36 health survey questionnaire, statistically significant improvements were noted between the mean scores in terms of physical functioning (PF) and role limitations due to physical problems (RP). Hence, Stoppa technique is an excellent technique to repair bilateral inguinal hernias, with less operative and better long term quality of life as compared to Lichenstein repair because of the simplicity, excellent results and avoidance of chronic pain.